HomeMy WebLinkAbout1992-004689 - re-roof garage PERMIT
CI'I?Y OF ORONO m
+ 1335 BROWN RD s , Box 66 �ERMITTYPE: ��'•-����'����'�
CRYSTAL BAY, MN 55 3 2 3 �'ermit Number: i�;?�'�="=`��
473-7357 �ate Issued: �{'� ������
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: � ��'�'� ������� — OWI�R.•
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PERMITEE SIGNATURE ISSUED BY:SIGNATURE
- ' CITY OF CRC�70 - BJILDING FERciIT APPLIC�TION
iotal. Fe�: $ Dat� Received:
Date A�nrocec :
�ntered Bv:
Pennit ;�-
?�I.L INFORMATION MIIST BE SIIBMITTED IN FLTLI� BEFOR.E PI,AN RE�7IEY�7 WIIS BE STARTF.D
(See Check-aff List Enclosed) �
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�E APPLICANT IS: (circl.e one ) 0��7�IER or CONTgACTOR
c- ��� c� /
JOB SITE ADDRSSS: -� � � � �' �✓� � � c. � ZIP: �
(work)
:7� OF OWNER: _J � �!1 -�� I� ,� S �� ✓� PHONE: (home)
*iA2I,ING A.DDRESS: �� �'`/ C, L �'/'� ` �v�. C2TYs �-^'�=t � z �; '� � ZIP: � �,�j /
�� � �, C �-���, �?,�,���, pHo�: � �� �- �z �`�
CONTRACTOR: �' ` S �-. �v✓� 5 �r c v'�
" L � � < CITY: �"``°� �z `� � zSP: S� 3 "t f
�..AILING ADDRESS: � SC`�� y• .'�
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STP,TE LICENSE: T ��� 7 l-S Z-
c�iC2CHITECT/ENG2NEER: ��/� PHONE: �!
'.KAII,ING A.DDRESS: CSTY: ZIP:
NAME: REGISTRATION -
TYPE OF WORR: �7ew Add�tian Accessory Struc�ure rlove
Demo R�*nodel/Alteration .�_ Renovate Land Alteration
P�OPOSED WORR (describe in detail) - /�� ti^'�a�� � �Si -S�{"`� ✓�� G �;��� i����.�'
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r � �c r I U � � �g' � � S �e � � ��
STORIES: SQ. FEET OF EACH FI�OOR:
NO_ OF BEDROOMS: G��R.AGE STALI.S: ATT. DET. �
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ggTIMP,TED CONSTRIICTION VALIIATZON (ezcluding Iand) : $ �� ��L`% ---
= hereby appl.y for a building per?nit and I ac?cncw?edge that the infor:nation
3bove is complete and accurate; that the work will be in conforznance with the
�rdinances and codes of the City and with the S�ate Building Code; that I
understand this is not a permit and work is not te start without a permit; and
�hat the work will be in accordance with the approved pian. �
. � '�
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A.PPI,ICANT'S SIG�IATIIFtE: , �l<"" C� �``��� C�' . DATE:
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Post Office Box 66•Crrystal Bay,Minnesota 5a323•Municipal Offices
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s • s � . On the North Shore of Lake Min.netonka
DATA PRNACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we wculd Iike to inform you that your request for a permit or �
license from the City of Orono or any of its departments may require �
you to furnish certain private or confidentiaZ information.
You are notified that:
1. The information you furnish will be used to determine your
aualification for the permit or license requested.
2. You may refuse to supply data, but rer"usal may require that
the City deny the permit or license.
3 . The information may be snared with ot:�er 3.oca1, s�a�e or
federal. agencies to the extent necessary to process the permit or
I.icense.
a. If your requested per,r�it or I.icense recuires Councii ac�io%
to appzove, some infor.nation may become public.
5 . You have certain rights under M.S. I3.0� to rev_ew private
data on yourself.
6. Your full name is required to process this application or
pe=-�mit. �
� First Middle Las�
Address
City State Zip
Phone
I understand my rights as stated above.
Signature . �
BUILDING& ZOrIVG-473-7357 • ADSfINISTRAT10N&FI`!�YCE-473-73=3 • PUBLIC WQRKS -473•7359
ASSESSIVG
�/
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DATE TIME
CITY OF ORONO CALLED IN �� ��� �� ��• �0��`
INSPECTION NOTICE SCHEDULED /C%'/�- `!�Z_, �/���� �'r�-
PERMIT NO. � COMPLET K '�1
ADDRESS `�' C ��- `-���—�---
OWNER �� - CONTR.��S� l���-��
TELEPHONE ��� — �� � _
� DESCRIPTION -
ly� O1F00 ING 1 HANICA RI 16WELLTESTPUMP
���02 FRA�MIN_G ' 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 IN�ULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINA� 23 SEPTIC FINAL
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Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,�; pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContract n�ite:
Inspector. v
White Copyllnspector's Fi e Canary Copy/Site Notice
'✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO E SCHEDULED 11-�►� ���
PERMIT NO. COMPLETED
ADDRESS �
OWNER CONTR. ���� •
TELEPHO E NO. ��1� ����
� DESCRIPTION C�iY `�/�'.rd��
� 01 FOOTING C/ '''"'ECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
�.1
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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y COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECOND�TIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO AFRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContra r Q�i site:
Inspector. �v
White Copy/lnspector's File Canary CopylSite Notice